LTC leaders gain remarkable insights from the Sleepover Project

In my first year as a nursing home psychologist, I entered a resident’s room for a session and she invited me to have a seat in her wheelchair, the only surface that was clean and free of belongings. The thought of sitting in a wheelchair freaked me out. Instead, I carried a heavy chair from...


Getting ‘hygge’ with it, at the holidays and year-round

Getting ‘hygge’ with it, at the holidays and year-round I know, I know, that’s not how the word is pronounced. But as soon as I read about the Danish concept of coziness, I got that darn Will Smith song (“Gettin Jiggy With It”) in my head and I can’t get it out. Hygge (actually pronounced...


Secret shoppers in LTC

Secret shoppers in LTC Posing as customers, “secret shoppers” deliver the inside scoop to management about their experiences with various service providers. They can be invaluable to management in all kinds of situations, including long-term care, though there are special challenges there. Secret shoppers are perhaps best known for retail settings. But they’re also used...


If toileting were a billable service …

If toileting were a billable service … The other day over lunch a colleague said to me, “Imagine how things would change if toileting were a billable service.” I laughed, briefly considered that fanciful notion and continued eating my meal. As I gave the idea further reflection, however, it might not be as laughable as...


The added value of social workers and psychosocial services

Here’s my latest article on McKnight’s Long-Term Care News: The added value of social workers and psychosocial services The top recommendation in the April 9 McKnight’s article “Researchers share 6 tips to improve nursing home care for blacks and Latinos” was to include a social worker on staff in the facility. “Great,” a reader commented,...


A gift from LTC families

Here’s my latest article on McKnight’s Long-Term Care News: A gift from LTC families A study of interactions between families and healthcare providers published in the BMJ this month sparked my interest. It showed that improving communication between the two groups reduced harmful medical errors by 39%. As if that vast reduction in medical errors weren’t enough,...


Healthcare changes that burn me out — and burn me up

Here’s my latest article on McKnight’s Long-Term Care News: Healthcare changes that burn me out — and burn me up I was recently required to take an online training module on burnout for physicians and allied professionals. It was the first time in 20-plus years that I’d received a formal message about self-care from any long-term...


Relationships key to long-term care success

Here’s my latest article on McKnight’s Long-Term Care News: Relationships key to long-term care success Long-term care success is about steady, reliable relationships. That’s my takeaway after attending two recent conferences that echo my experiences in the field. The first event delivered the results thus far of an ongoing program that won a coveted grant...


The sounds of LTC

Here’s my latest article on McKnight’s Long-Term Care News: The sounds of LTC Observing the customary cacophony at the nursing station, I’d estimate that so-called “alarm fatigue” contributes to more than a few tragedies in long-term care. Here’s one example that resulted in a lawsuit filing after a resident died when nursing staff ignored the...


9 reasons why it’s better to congregate than disperse short-term rehab residents

Here’s my latest article on McKnight’s Long-Term Care News: 9 reasons why it’s better to congregate than disperse short-term rehab residents In most of my long-term care career, I’ve witnessed short-term rehabilitation (STR) residents housed together, but occasionally facilities have scattered them throughout the building. I don’t know the reasoning behind dispersing residents, but from...


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